JPWO2018230559A1 - Medical network system and external device - Google Patents

Abstract

The medical network system includes a medical care facility 300 and a medical care terminal communication unit 420 installed in the community center CC, an autonomous driving vehicle 200 on which the patrol doctor DR rides, and a determining unit 110 that determines the next dispatch schedule of the autonomous driving vehicle 200. , Prepare. The self-driving vehicle 200 includes a communication device and a navigation device. The medical care terminal communication unit 420 transmits the medical examination result by the medical examination equipment 300 to the communication device provided in the autonomous driving vehicle 200. The navigation device outputs biometric information based on the examination result received by the communication device to the visiting doctor DR.

Description

The present invention relates to a medical network system and an external device.
The present application claims priority based on Japanese Patent Application No. 2017-118692 filed in Japan on June 16, 2017, the contents of which are incorporated herein by reference.

  In areas with a small population, it may be difficult to set up a hospital or the like, and a doctor may visit a user's home such as a patient to make a home visit. Conventionally, as a technology that enhances the convenience of visiting doctors and other medical personnel when a doctor visits, there is a home medical support system that notifies the scheduled visit time of the doctor to the user terminal of the next visiting visit. (For example, refer to Patent Document 1).

JP, 2014-229245, A

  However, in the home medical support system disclosed in Patent Document 1, although the user is notified of the doctor's scheduled home visit time, it is difficult to adjust the staying time of the doctor at the user's home. Therefore, when the doctor visits the user's home in a specific area, the staying time at the user's home may be prolonged, and the visit may not be performed efficiently.

  Therefore, an object of the present invention is to provide a medical network system and an external device that allow a doctor to efficiently travel in a specific area.

  (1): A medical service terminal installed in a facility provided with a medical examination facility, including a first communication unit, an autonomous driving vehicle in which a doctor is aboard, a second communication unit and an information output unit, and a specific area A determining unit that determines a dispatch schedule of the self-driving vehicle so as to travel inside the first communication unit, and the first communication unit directly or indirectly reports a diagnosis result by the diagnosis facility to the second communication unit. The information output unit is a medical network system that outputs to the doctor information based on the medical examination result received by the second communication unit.

  (2): The medical network system according to (1), further including a third communication unit provided side by side with the determination unit, wherein the first communication unit reports the examination result by the examination facility to the third communication. And the decision unit changes the vehicle dispatch schedule based on the medical examination result received by the third communication unit, and the third communication unit receives the vehicle dispatch schedule together with the changed vehicle dispatch schedule. The examination result is transmitted to the second communication unit.

  (3): Includes a medical treatment terminal installed in a facility provided with a medical examination facility, and a determining unit that determines a dispatch schedule of the autonomous driving vehicle so that the autonomous driving vehicle on which a doctor rides runs in a specific area. An external terminal and a doctor terminal operated by the doctor are provided, and the external terminal is an external device that transmits the vehicle allocation schedule determined by the determination unit to the doctor terminal.

  (4): The external device according to (3), wherein the doctor terminal relates to arrangement of a vehicle according to the received vehicle allocation schedule.

  (5): The external device according to (3) or (4), wherein the external terminal transmits authentication information of the self-driving vehicle to the doctor terminal.

  (6): The external device according to any one of (3) to (5), wherein the determination unit estimates an estimated arrival time at a predetermined position of the autonomous vehicle, and the estimated arrival time is estimated by the doctor. It is to be sent to the terminal.

  (7): The external device according to any one of (3) to (6), wherein the doctor terminal transmits treatment-related information based on a result of a primary diagnosis performed by the doctor to the external terminal, and the determination is made. The section changes the vehicle allocation schedule based on the treatment-related information transmitted from the doctor terminal.

  (8): The external device according to (7), wherein the determination unit generates necessary equipment related information based on the treatment related information, and outputs the necessary equipment related information to the automatic driving vehicle and the medical care terminal. It is to be sent to at least one.

In (1), the first communication unit transmits the medical examination result to the second communication unit, and the information output unit outputs the transmitted medical examination result to the doctor. Therefore, the doctor who gets on the autonomous driving vehicle can make a primary diagnosis of the user in the autonomous driving vehicle when moving to the user's house. Therefore, the primary diagnosis time at the user's home can be omitted, and the staying time at the user's home can be shortened. As a result, the doctor can efficiently travel in a specific area.
In (2), the determination unit changes the vehicle allocation schedule based on the medical examination result transmitted by the first communication unit and transmits the schedule to the second communication unit. Therefore, when there is an urgent user as a result of the medical examination by the medical examination equipment, the deciding unit can adjust the dispatch schedule. Therefore, it is possible for a doctor to efficiently travel in a specific area while taking measures corresponding to the urgency of the user.
In (3), the external terminal transmits the vehicle allocation schedule determined by the determination unit to the doctor terminal. Therefore, the doctor can efficiently perform the examination and the patrol.
In (4), the doctor terminal transmits the boarding information regarding the arrangement of the vehicle according to the received vehicle allocation schedule to the determination unit. For this reason, it is possible to reduce the trouble of arranging the vehicle according to the vehicle allocation schedule in the determining unit.
In (5), the authentication information of the self-driving vehicle is transmitted to the doctor terminal. For this reason, it is possible to suppress misidentification of the self-driving vehicle on which the doctor rides.
In (6), the estimated arrival time at the predetermined position of the self-driving vehicle estimated by the determination unit is transmitted to the doctor terminal. For this reason, it is possible to make it easier for the doctor to grasp the schedule during the tour.
In (7), the determination unit changes the vehicle allocation schedule based on the treatment-related information transmitted from the doctor terminal. Therefore, as a result of the primary diagnosis, it is possible to generate a vehicle dispatch schedule according to the user's diagnosis result.
In (8), the required facility-related information is transmitted to at least one of the autonomous driving vehicle and the medical care terminal. For this reason, it is possible to prepare necessary equipment and the like at the destination of the doctor.

It is a block diagram of a medical network system. It is a block diagram of an automatic driving vehicle. It is explanatory drawing explaining the map information in a traveling area. It is explanatory drawing explaining the user information of the user in a circulation area. It is explanatory drawing explaining the dispatch schedule of a visiting doctor. It is explanatory drawing explaining biometric information of a user. It is explanatory drawing explaining the biometric information of the user of 2nd Embodiment. It is a flowchart which shows the procedure of the vehicle allocation schedule generation process of 2nd Embodiment. It is explanatory drawing explaining before and after the change of the dispatch schedule of a visiting doctor. It is a flow chart which shows the procedure of the roundabout generation processing of a 2nd embodiment. It is a block diagram of the medical network system of 3rd Embodiment. It is a sequence diagram which shows the process performed by the medical network system of 3rd Embodiment.

Hereinafter, a medical network system of the present invention will be described with reference to the drawings.
The medical network system allows an automated driving vehicle for a doctor to travel in a specific area (hereinafter referred to as “patrol area”) where there are multiple users who receive medical examination by the doctor, and the doctor patrols the user's home. It is a system that provides support for. In a medical network system, the biometric information of a user is acquired by using a medical examination facility installed in a facility such as a patrol area, and a doctor refers to the biometric information while riding in an autonomous vehicle to perform a primary Make a thorough diagnosis. Subsequently, the doctor goes around the patrol area and goes to the user's house to make a home visit, and makes a secondary diagnosis by facing the user.

[First Embodiment]
FIG. 1 is a block diagram of a medical network system. As illustrated in FIG. 1, the medical network system includes, for example, a service terminal 100, an autonomous vehicle 200, a medical examination facility 300, and a medical care terminal 400. The service terminal 100 is provided in the service center S, for example. The medical examination facility 300 and the medical care terminal 400 are installed, for example, in the community center CC which is a facility constructed in the patrol area.

  The service terminal 100 includes a determination unit 110 and a service terminal communication unit (an example of a third communication unit) 120. The determination unit 110 in the service terminal 100 includes, for example, a processor such as a CPU and various storage devices. Various storage devices in the determination unit 110 store map information, user information, and the like in the traveling area. The service terminal communication unit 120 is installed side by side with the determination unit 110, and transmits and receives information between the determination unit 110 and the autonomous driving vehicle 200 and the medical care terminal 400.

  As shown in FIG. 3, the map information in the patrol area includes a map of the patrol area and the position of the user's house on the map. The user's home includes A home HA, B home HB, C home HC, D home HD, E home HE, and F home HF. The map information also includes the position of the doctor's home HHD, which is the home of the doctor.

  As shown in FIG. 4, the user information includes information such as the user's ID number, address, name, sex, age, number of people living together, medical history, regular medication, and necessity of nursing care. This user information is stored for each user who is a resident of A home HA, B home HB, C home HC, D home HD, E home HE, and F home HF.

  Based on the map information shown in FIG. 3 and the user information shown in FIG. 4, the determination unit 110 makes the destinations to which the autonomous driving vehicle 200 on which the doctor rides travel, the order in which the destinations travel, and the arrival schedule at the destinations. Determine the dispatch schedule including the time. The vehicle allocation schedule may be determined by an appropriate method. For example, the traveling distance of the autonomous driving vehicle 200 is the shortest from a geographical point of view to minimize the traveling time of the traveling doctor DR to shorten the traveling time as much as possible. It is sufficient to determine the route. The determination unit 110 outputs the determined vehicle allocation schedule to the service terminal communication unit 120. The vehicle allocation schedule is, for example, information including the destination, the order of traveling, and the estimated arrival time shown in FIG.

  The service terminal communication unit 120 is, for example, a wireless communication module for communicating with the communication device 220 of the autonomous driving vehicle 200 via the network NW. The service terminal communication unit 120 transmits the vehicle allocation schedule output by the determination unit 110 to the communication device 220 of the autonomous driving vehicle 200.

  The self-driving vehicle 200 is, for example, a vehicle in which one or more users can board as an occupant, and has a function of traveling without performing a driving operation. FIG. 2 is a configuration diagram of the autonomous driving vehicle 200. As shown in FIG. 2, the autonomous driving vehicle 200 includes, for example, an external monitoring unit 210, a communication device (an example of a second communication unit) 220, a navigation device 230, and an automatic driving control unit (of the automatic driving control unit). An example) 250, a driving force output device 260, a brake device 262, and a steering device 264.

  The external world monitoring unit 210 includes, for example, a camera, a radar, a LIDAR (Light Detection and Ranging), and an object recognition device that performs sensor fusion processing based on the outputs of these. The external environment monitoring unit 210 estimates the types of objects (especially, vehicles, pedestrians, and bicycles) existing around the autonomous driving vehicle 200, and outputs them to the automatic driving control unit 250 together with information on their positions and speeds.

  The communication device 220 is, for example, a wireless communication module for connecting to the network NW and directly communicating with other vehicles, pedestrian terminal devices, and the like. The communication device 220 performs wireless communication based on Wi-Fi, DSRC (Dedicated Short Range Communications), Bluetooth (registered trademark), and other communication standards. As the communication device 220, a plurality of devices may be prepared according to the application.

  The communication device 220 receives the vehicle allocation schedule transmitted by the service terminal communication unit 120 and outputs it to the navigation device 230. The navigation device 230 generates route information based on the vehicle allocation schedule output by the communication device 220. The navigation device 230 outputs the destination and the traveling order according to the vehicle allocation schedule output by the communication device 220 by an HMI (an example of an information output unit) 232 by voice and image display.

  The navigation device 230 includes, for example, an HMI (Human machine Interface) 232, a GNSS (Global Navigation Satellite System) receiver 234, and a navigation control device 236. The HMI 232 includes, for example, a touch panel display device, a speaker, a microphone, and the like. The GNSS receiver 234 measures the position of itself (the position of the autonomous driving vehicle 200) based on the radio waves coming from the GNSS satellite (for example, GPS satellite). The navigation control device 236 includes, for example, a CPU (Central Processing Unit) and various storage devices, and controls the entire navigation device 230.

  Map information (navi map) is stored in the storage device. The navigation map is a map expressing roads with nodes and links. The navigation control device 236 refers to the navigation map for the route from the position of the autonomous driving vehicle 200 located by the GNSS receiver 234 to the destination specified by the HMI 232 or output from the communication device 220. decide. The storage device stores the home address of the visiting doctor DR and the like. Further, the navigation control device 236 may transmit the position of the autonomous driving vehicle 200 and the destination to the navigation server (not shown) using the communication device 220, and acquire the route returned from the navigation server. It should be noted that the route may include information about a stop point and a target arrival time for stopping or getting on / off the user. The navigation control device 236 outputs the route information of the route determined by any of the above methods to the communication device 220 and the automatic driving control unit 250.

  The automatic driving control unit 250 includes one or more processors such as a CPU and MPU and various storage devices. The automatic driving control unit 250 executes automatic driving in which the autonomous driving vehicle 200 automatically travels so as to travel on the route based on the route information transmitted by the navigation device 230. The automatic driving control unit 250 sequentially executes various events, for example. Events include constant-speed driving events that drive in the same lane at a constant speed, follow-up driving events that follow the preceding vehicle, lane change events, merging events, branch events, emergency stop events, and fees for passing through toll gates. Location event, a handover event for terminating automatic operation and switching to manual operation. Further, during the execution of these events, actions for avoidance may be planned based on the surrounding conditions of the autonomous driving vehicle 200 (the presence of surrounding vehicles and pedestrians, lane narrowing due to road construction, etc.).

  The autonomous driving control unit 250 generates a target trajectory for the autonomous driving vehicle 200 to travel in the future. The target trajectory includes, for example, a velocity element. For example, the target track is represented as a sequence of points (track points) that the autonomous vehicle 200 should reach. The track point is a point to be reached by the autonomous driving vehicle 200 for each predetermined traveling distance, and apart from that, the target speed and the target acceleration for each predetermined sampling time (for example, about 0 comma number [sec]) are set as the target. Generated as part of the orbit. Further, the track point may be a position to be reached by the autonomous vehicle 200 at each sampling time at each predetermined sampling time. In this case, the information on the target velocity and the target acceleration is represented by the intervals between the track points.

  The driving force output device 260 outputs a traveling driving force (torque) for driving the vehicle to the driving wheels. The driving force output device 260 includes, for example, a combination of an internal combustion engine, an electric motor, a transmission, and the like, and a power ECU that controls these. The power ECU controls the above configuration according to the information input from the automatic driving control unit 250 or the information input from a driving operator (not shown).

  The brake device 262 includes, for example, a brake caliper, a cylinder that transmits hydraulic pressure to the brake caliper, an electric motor that generates hydraulic pressure in the cylinder, and a brake ECU. The brake ECU controls the electric motor according to the information input from the automatic driving control unit 250 or the information input from the driving operator so that the brake torque according to the braking operation is output to each wheel. The brake device 262 may include, as a backup, a mechanism that transmits the hydraulic pressure generated by the operation of the brake pedal included in the driving operator to the cylinder via the master cylinder. The brake device 262 is not limited to the configuration described above, and is an electronically controlled hydraulic brake device that controls the actuator according to the information input from the automatic driving control unit 250 and transmits the hydraulic pressure of the master cylinder to the cylinder. Good.

  The steering device 264 includes, for example, a steering ECU and an electric motor. The electric motor changes the direction of the steered wheels by exerting a force on the rack and pinion mechanism, for example. The steering ECU drives the electric motor in accordance with the information input from the automatic driving control unit 250 or the information input from the driving operator to change the direction of the steered wheels.

  Returning to FIG. 1, the examination facility 300 includes a wearable sensor, a blood pressure monitor, a body measuring device, and the like. Wearable sensors are used to diagnose the wearer's blood pressure, pulse rate, body temperature, respiration rate, electrocardiogram, myoelectricity, changes in electrocardiogram and myoelectricity (displacement), blood glucose level, blood oxygen concentration, bone density, etc. To be The body measuring device is used for examining the height, weight and body fat percentage of the user. For measurement of these items, for example, a measurement device dedicated to each item such as an electrocardiograph, an electromyography, a blood glucose level measuring device, a blood oxygen concentration measuring device, and a bone density measuring device may be used. The examination facility 300 includes a data processing unit that converts these examination results into examination result data. The examination facility 300 outputs the digitized examination result data to the medical care terminal 400.

  The medical care terminal 400 includes, for example, a calculation unit 410 and a medical care terminal communication unit (an example of a first communication unit) 420. The arithmetic unit 410 is realized, for example, by a processor such as a CPU (Central Processing Unit) executing a program stored in various storage devices. The calculation unit 410 generates biometric information based on the examination result data output by the examination facility 300. As the biometric information, as shown in FIG. 6, examination result data such as height, weight, blood pressure, body temperature, pulse rate, respiration rate, and body fat percentage are added to items such as the user's ID number, name, sex, and age. Information. As the biometric information, information of each user is generated. The calculation unit 410 outputs the generated biological information to the medical care terminal communication unit 420.

  The medical care terminal communication unit 420 is, for example, a wireless communication module for communicating with the service terminal communication unit 120 of the service terminal 100 and the communication device 220 of the autonomous driving vehicle 200 via the network NW. The medical care terminal communication unit 420 transmits the biological information output by the calculation unit 410 to the communication device 220 of the autonomous driving vehicle 200. The communication device 220 of the autonomous driving vehicle 200 receives the biometric information transmitted by the medical care terminal communication unit 420 and outputs it to the navigation device 230. The navigation device 230 outputs the biometric information output by the communication device 220 by voice and image display using the HMI 232.

  Next, the processing in the medical network system of the first embodiment will be described. The medical network system of the first embodiment is a system used when the traveling doctor DR who gets on the autonomous driving vehicle 200 visits the user's home in the traveling area from the doctor's home HHD to make a home visit. On the day when the diagnosis of the visiting doctor DR is performed, the user first goes to the community center CC and undergoes a medical examination by the medical examination facility 300 to generate biometric information. After that, the user returns home and waits for the visit of the doctor (or waits for the visit of the doctor at the community center CC). Hereinafter, processing in the medical network system on the day when the visiting doctor DR is diagnosed will be described.

  In the medical care terminal 400 installed in the community center CC, the calculation unit 410 generates biometric information based on the medical examination result data of the user who visited the medical examination. When the medical examination result data of the user is output, the calculation unit 410 generates biometric information for each user. The calculation unit 410 transmits the generated biometric information to the service terminal 100 in the service center S via the medical care terminal communication unit 420 and the network NW.

  The service terminal 100 at the service center S causes the determining unit 110 to generate a vehicle allocation schedule. The service terminal 100 transmits, via the network NW by the service terminal communication unit 120, the vehicle allocation schedule generated by the determination unit 110 and the user information stored in various storage devices to the communication device 220 of the autonomous driving vehicle 200. . Further, the service terminal communication unit 120 transfers the biometric information transmitted by the medical care terminal communication unit 420 of the medical care terminal 400 to the communication device 220 together with the vehicle allocation schedule and the like. In this way, the medical care terminal communication unit 420 indirectly transmits the biometric information to the communication device 220 via the service terminal communication unit 120.

  The communication device 220 outputs the vehicle allocation schedule, the user information, and the biometric information transmitted by the service terminal communication unit 120 to the navigation device 230. The navigation device 230 outputs various kinds of information corresponding to the user information and the biometric information output by the communication device 220 by an image display or the like by the HMI 232.

  Further, the navigation device 230 causes the navigation control device 236 to generate route information based on the destinations and the order of traveling of the destinations according to the vehicle allocation schedule output by the communication device 220. Here, the navigation device 230 generates a route in which the last destination is the doctor's home HHD. After that, the patrol doctor DR activates the autonomous driving vehicle 200, so that the patrol area of the autonomous driving vehicle 200 is started from the doctor's house HHD.

  When the patrol is started, the navigation device 230 simultaneously outputs the patrol route and the estimated arrival time according to the vehicle allocation schedule output by the communication device 220 by image display by the HMI 232. Subsequently, the navigation device 230 outputs the biometric information of the first patrol destination, for example, the user of the user ID 0001 (hereinafter referred to as “user A”) who is a resident of the home HA shown in FIG. . At this time, if the biometric information of the user A has not been transmitted to the communication device 220 by the medical care terminal 400 via the service terminal 100 and has not been output to the navigation device 230 by the communication device 220, the navigation device 230. Does not output information according to the biometric information of the user A.

  During this period, the traveling doctor DR grasps the user's home that travels in one day by looking at the traveling route image-displayed on the HMI 232 of the navigation device 230. Further, the traveling doctor DR who gets on the autonomous driving vehicle 200 makes a primary diagnosis of the user A while looking at the biological information displayed in the image by the HMI 232.

  When the self-driving vehicle 200 arrives at the home A HA and the visit doctor DR completes the home visit of the user A at the home A HA, the self-driving vehicle 200 on which the visit doctor DR has boarded the home C is the next destination. Start running toward HC. Until the vehicle arrives at the C home HC, the navigation device 230 outputs the biometric information of the user having the usage ID 0003 (hereinafter referred to as “user C”) who is a resident of the C home HC by image display by the HMI 232. During this period, the visiting doctor DR makes a primary diagnosis of the user C while looking at the biological information of the user C.

  After that, the same visits and primary diagnoses will be repeated during each user's visit to the house. Then, after the visits to all the user homes A home HA to F home HF are completed, the autonomous driving vehicle 200 sets the doctor home HHD as the destination. In this way, the visiting doctor DR returns home after finishing the last visit.

  As described above, in the medical network system according to the first embodiment, the medical care terminal 400 generates the biometric information including the medical examination result data obtained from the medical examination result by the medical examination facility 300 provided in the community center CC. The medical care terminal 400 transmits the generated biometric information to the service terminal 100, and the service terminal 100 transmits the transmitted biometric information to the communication device 220 of the autonomous driving vehicle 200. The communication device 220 outputs the transmitted biological information to the navigation device 230. The navigation device 230 outputs the biometric information output by the communication device 220 by voice and image display using the HMI 232. For this reason, the traveling doctor DR who gets on the autonomous driving vehicle 200 and travels in the patrol area can make a primary diagnosis of the user in the autonomous driving vehicle 200. Therefore, when the visiting doctor DR arrives at the user's house, the visiting doctor DR can be in a state where the user's primary diagnosis has been completed. As a result, the visiting doctor DR can save the primary diagnosis time at the user's house, and can shorten the staying time at the user's house. As a result, the traveling doctor DR can efficiently travel in the traveling area.

[Second Embodiment]
Next, the medical network system of the second embodiment will be described. The medical network system of the second embodiment includes, for example, the service terminal 100 shown in FIG. 1, an autonomous vehicle 200, a medical examination facility 300, and a medical care terminal 400. These configurations are the same as those in the first embodiment, and description thereof will be omitted. Further, in the medical network system according to the second embodiment, the process of generating the vehicle allocation schedule in the determination unit 110 of the service terminal 100, the process of generating the route of the autonomous driving vehicle 200 in the navigation device 230, and the calculation unit 410 of the medical care terminal 400. The process in is mainly different from that of the first embodiment. The medical network system of the second embodiment will be described below, focusing on the differences from the medical network system of the first embodiment.

  First, the processing of the medical care terminal 400 will be described. In the medical network system according to the second embodiment, the examination facility 300 examines the user who visited the examination. The medical treatment terminal 400 causes the calculation unit 410 to generate biometric information based on the medical examination result data as the medical examination result by the medical examination facility 300. The calculation unit 410 generates biometric information for each user based on the examination result data of each user. This point is the same as the first embodiment.

  Further, in the medical network system of the second embodiment, the second doctor stays at the community center CC. The second doctor makes a primary medical examination of the user based on the medical examination result data of the user by the medical examination facility 300. It is assumed that, as a result of the primary examination, the second doctor determines that it is urgent to require a secondary examination by the traveling doctor DR who gets on the autonomous driving vehicle 200. In this case, as shown in FIG. 7, the second doctor operates the arithmetic unit 410 of the medical care terminal 400 so as to add the emergency information indicating the urgency “present” to the biometric information. The emergency information is information that can be added for each item of "blood pressure", "body temperature", "pulse rate", "breathing rate", "body fat percentage", "blood glucose level", "oxygen concentration in blood", and "bone density". For each of these items, the second doctor causes the computing unit 410 to add urgent information of urgency to the items that have numerical values that are urgent to the user's response. The calculation unit 410 transmits the generated biometric information to the service terminal 100 via the network NW by the medical care terminal communication unit 420.

  Next, among the processes in the service terminal 100, a vehicle allocation schedule generation process will be described as a process different from the medical network system of the first embodiment. FIG. 8 is a flowchart showing the procedure of the vehicle allocation schedule generation process. In the vehicle allocation schedule generation process, first, the determination unit 110 determines whether or not the initial vehicle allocation schedule has been generated (step S11).

  As a result, when determining that the initial vehicle allocation schedule has not been generated, the determination unit 110 generates the initial vehicle allocation schedule (step S12). Subsequently, the determination unit 110 transmits the generated initial vehicle allocation schedule to the autonomous vehicle 200 by the service terminal communication unit 120 (step S13). If it is determined in step S11 that the initial vehicle allocation schedule has been generated, the determination unit 110 directly proceeds to step S14.

  Next, the determination unit 110 determines whether or not the biometric information transmitted by the medical care terminal communication unit 420 of the medical care terminal 400 has been received (step S14). As a result, when it is determined that the biometric information has not been received, the determination unit 110 repeats the process of step S14. Note that the determination unit 110 may time out and terminate the vehicle allocation schedule generation process if biometric information is not received even after a lapse of a predetermined waiting time, for example, 10 minutes.

  When determining in step S14 that the biometric information has been received, the determination unit 110 determines whether or not emergency information is added to the transmitted biometric information (step S15). As a result, when the emergency information is added to the biometric information, the determination unit 110 regenerates the vehicle allocation schedule based on the emergency information added to the biometric information (step S16). For example, suppose that the determination unit 110 determines the vehicle allocation schedule of the patrol route (before the change) as the initial vehicle allocation schedule in step S11 as illustrated in FIG. 9. The vehicle allocation schedule of the patrol route (before change) is a vehicle allocation schedule determined based on a geographical point of view, and is a vehicle allocation schedule in which A house, C house, F house, D house, E house, and B house are visited in this order. is there.

  In this state, it is assumed that the biometric information received by the determination unit 110 in step S14 is attached with emergency information having urgency on the blood pressure of the user with the user ID 0005, as shown in FIG. 7. Since the user with the user ID 0005 is a resident of the E home, the determining unit 110 redetermines the vehicle allocation schedule that hastens the visit to the E home. Therefore, the deciding unit 110 regenerates the vehicle allocation schedule so that the traveling distance of the autonomous driving vehicle 200 becomes the shortest while accelerating the visit of the E home. For example, the determining unit 110 travels in the order of A house (visited), C house, F house, D house, E house, and B house, as in the vehicle allocation schedule of the tour route (after change) illustrated in FIG. 9. Regenerate the dispatch schedule.

  Subsequently, the determination unit 110 compares the regenerated vehicle allocation schedule with the initial vehicle allocation schedule to determine whether the vehicle allocation schedule has been changed (step S17). As a result, when determining that the vehicle allocation schedule has been changed, the determination unit 110 retransmits the changed vehicle allocation schedule to the autonomous vehicle 200 (step S18), and ends the vehicle allocation schedule generation process. If it is determined that the vehicle allocation schedule has not been changed, the determination unit 110 ends the vehicle allocation schedule generation process as it is. Further, when it is determined that the emergency information is not added in step S15, the vehicle allocation schedule does not need to be regenerated, and thus the determination unit 110 directly ends the vehicle allocation schedule generation process.

  Next, the route generation process will be described. FIG. 10 is a flowchart showing the procedure of the route generation process. In the route generation procedure, first, the navigation control device 236 determines whether the vehicle allocation schedule has been transmitted by the service terminal communication unit 120 of the service terminal 100 (step S21). As a result, when it is determined that the vehicle allocation schedule has not been received, the navigation control device 236 repeats the process of step S21. Note that the navigation control device 236 may time out and terminate the route generation process if biometric information is not received even after a lapse of a predetermined waiting time, for example, 10 minutes.

  When it is determined that the vehicle allocation schedule has been received in step S21, the navigation control device 236 determines whether the destination has already been set (step S22). As a result, when it is determined that the destination has not been set, the navigation control device 236 sets the destination based on the received vehicle allocation schedule (step S23) and determines the route of the autonomous vehicle 200. Further, when it is determined that the destination has been set, the navigation control device 236 changes the destination corresponding to the transmitted vehicle allocation schedule (step S24). Thus, the navigation control device 236 ends the route generation process.

  As described above, in the medical network system of the second embodiment, the determination unit 110 in the service terminal 100 changes the vehicle allocation schedule based on the emergency information transmitted by the medical care terminal communication unit 420 based on the medical examination result. Specifically, the determination unit 110 is accelerating the patrol order for the user's home to which the emergency information is attached. Therefore, the traveling doctor DR can visit the urgent user's house at an early stage and can make a patrol through an efficient route. Therefore, it is possible for a doctor to efficiently travel in a specific area while taking measures corresponding to the urgency of the user.

[Third Embodiment]
Next, a third embodiment will be described. In the third embodiment, as in the first embodiment, the medical institution to which the self-driving vehicle visits is the hospital H. FIG. 11 is a configuration diagram of a medical network system of the third embodiment. As shown in FIG. 11, the medical network system of the third embodiment includes a service terminal 100, an autonomous vehicle 200, a medical examination facility 300, and a medical examination terminal 400, as in the first embodiment. Further, the medical network system of the third embodiment includes a doctor terminal 500. The doctor terminal 500 is, for example, a terminal carried by a doctor who gets on the autonomous driving vehicle 200. Hereinafter, the medical network system of the third embodiment will be described, focusing on the differences from the first embodiment.

  As shown in FIG. 11, the service terminal 100 includes a communication unit 151, a reception unit 152, a diagnosis unit 153, a route instruction unit 154, an authentication unit 155, an emergency information input unit 156, and a storage unit 160. The storage unit 160 stores service management information 161, patient information 162, and analysis information 163.

  The communication unit 151 performs transmission / reception between the service terminal 100 and other devices, specifically, the self-driving vehicle 200, the consultation terminal 400, and the doctor terminal 500. The reception unit 152 receives various types of information transmitted from the autonomous driving vehicle 200, the examination terminal 400, and the doctor terminal 500. The diagnosis unit 153 makes a diagnosis based on the medical examination information transmitted from the doctor terminal 500. Further, the diagnosis unit 153 updates the diagnosis result and information such as the patient's case, medical history, and degree of long-term care, and stores it in the storage unit 160.

  The route instruction unit 154 generates a patrol route of the autonomous driving vehicle 200 based on various types of information such as the biological information of the patient and the desired visit time of the patient generated by the examination terminal 400. In addition, the route instruction unit 154 determines the doctor in charge of the tour based on the tour route, the schedules of a plurality of doctors, and the like. Further, the route instructing unit 154, after starting the patrol of the doctor, acquires the information such as the position information of the autonomous driving vehicle 200 on which the doctor is riding, the primary diagnosis result transmitted from the doctor terminal 500, etc. Update the estimated arrival time and the updated patrol route.

  The authentication unit 155 performs authentication for identifying the autonomous driving vehicle 200 that is to patrol. For example, the authentication unit 155 transmits, to the doctor terminal 500, an eye authentication key for performing authentication for identifying the autonomous driving vehicle 200. The emergency information input unit 156 deals with a case where there is a request to deviate from the patrol by the normal patrol route. For example, when there is a seriously ill patient near the patrol route, the emergency information input unit 156 inputs information on the seriously ill patient.

  The storage unit 160 stores, as the service management information 161, a service ID, vehicle ID, vehicle current position information, diagnosis status, diagnosis result attribute, waypoint ID, waypoint task ID, and scheduled waypoint arrival time. The service ID is information identifying a doctor, and the vehicle ID is information identifying the autonomous driving vehicle 200. The diagnosis status is information about the status of the diagnosis made by the doctor, and the diagnosis result attribute is information about the result of the diagnosis made by the doctor. The waypoint ID is information that identifies a waypoint that is a candidate for a waypoint of the autonomous vehicle 200, the waypoint task ID is information that identifies a task that reaches the waypoint, and the planned waypoint arrival time is the waypoint This is information about the scheduled arrival time.

  Among them, the service ID and the vehicle ID are information that is not updated when the autonomous vehicle 200 is patrolled, and the vehicle current position information, the diagnosis status, the diagnosis result attribute, the waypoint ID, the waypoint task ID, and the estimated time of arrival at the waypoint are The information is information that may be updated when the autonomous driving vehicle 200 is traveling. The storage unit 160 appropriately provides these various types of information to the communication unit 151, the diagnosis unit 153, the route instruction unit 154, and the authentication unit 155.

  The storage unit 160 stores, as the patient information 162, a patrol target customer ID, a customer contact address, a customer address, a medical history, and a degree of long-term care. The patrol target customer ID is information for identifying the target customer who is a target customer when the autonomous driving vehicle 200 patrols. The customer contact information is the contact information (telephone number, etc.) of the target customer and the customer address is the target. This is the address of the customer's residence. The medical history is information on the past medical history of the target customer, and the degree of long-term care is information on the degree of long-term care of the target customer. These pieces of information are information that is not updated when the autonomous driving vehicle 200 patrols.

  The storage unit 160 stores, as the analysis information 163, a target patient ID, a related diagnosis ID, diagnostic machine information, secondary diagnosis information, and the like. The target patient ID is information that identifies the target patient, and the related diagnosis ID is information regarding the result of the diagnosis related to the target patient. The diagnostic device information is information about the diagnostic device, and the secondary diagnostic information is information about the secondary diagnostic result of the target patient. Of these pieces of information, information other than the secondary diagnostic information is information that is not updated when the autonomous driving vehicle 200 is patrolled, and information other than the secondary diagnostic information may be updated when the autonomous driving vehicle 200 is patrolled. Information.

  The autonomous driving vehicle 200 includes a traveling unit 600, a management unit 610, a communication unit 620, and an authentication unit 630. The management unit 610 includes a usage status detection unit 611, a usage permission unit 612, and an authentication unit 613. The usage status detector 611 detects the usage status of the vehicle. The use permission unit 612 permits the use of the own vehicle by referring to the authentication ID or the like. The authentication unit 613 authenticates the authentication ID when using the vehicle.

  The communication unit 620 transmits and receives between the autonomous driving vehicle 200 and other devices, the service terminal 100, the consultation terminal 400, and the doctor terminal 500. The authentication unit 630 performs authentication for identifying the user (doctor) who uses the vehicle by the transmitted service ID or the like.

  The autonomous driving vehicle 200 also stores vehicle information. The vehicle information includes vehicle ID, own vehicle position information (latitude, longitude, altitude), compartment usage information (user doctor / available compartment (diagnostic device), running status, administrator information, service owner ID, and usage period). Etc. is included.

  The examination terminal 400 includes a state management unit 431, a communication unit 432, an output unit 433, an authentication unit 434, and a storage unit 440. The status management unit 431 manages the usage status (availability, etc.) of the adjacent medical examination equipment 300. The communication unit 432 performs transmission / reception between the autonomous driving vehicle 200 and other devices, the service terminal 100, the autonomous driving vehicle 200, and the doctor terminal 500.

  The output unit 433 outputs the information obtained by the state management unit and the information received by the communication unit 432. The authentication unit 434 performs authentication for identifying a patient by the target patient ID or the like transmitted. In addition, the examination terminal 400 stores task ID, execution manager information, target patient ID, diagnostic machine information, primary diagnosis result, task status, service status, facility location information, and the like as service information.

  The doctor terminal 500 includes a communication unit 510 and an authentication unit 520. The communication unit 510 performs transmission / reception between the examination terminal 400 and other devices such as the service terminal 100, the autonomous driving vehicle 200, and the doctor terminal 500. The doctor terminal 500 includes a communication unit 510 and an authentication unit 520.

  The communication unit 510 performs transmission / reception between the doctor terminal 500 and other devices, specifically, the service terminal 100, the self-driving vehicle 200, and the consultation terminal 400. The authentication unit 520 authenticates the doctor terminal 500. Further, the doctor terminal 500 stores a patient ID, a diagnosis ID, diagnostic machine information, route information, etc. of the target patient.

  FIG. 12 is a sequence diagram showing processing executed by the medical network system according to the third embodiment. The process executed by the medical network system of the third embodiment is executed after the service terminal 100 of the service center S acquires the biometric information generated by the consultation terminal 400 in the community center CC.

  As shown in FIG. 12, the service terminal 100 causes the route instruction unit 154 to read the patient information 162 stored in the storage unit 160, and to determine the patrol route based on the patient information of the patient (target patient) who is the patrol destination. A traveling plan is generated (step S402). Subsequently, the service terminal 100 determines the doctor who will be the patrol staff (step S404). The person in charge of traveling may be determined based on, for example, an input by an operator's input operation, or the list of doctors who are candidates for traveling in the storage unit 160, the schedule (vacant) in charge of the doctors listed in the list, and the traveling route. It is also possible to store geographical distance information and the like from and to make a decision based on these conditions. The service terminal 100 transmits the tour plan to the doctor terminal 500 of the determined doctor in charge. Further, when transmitting the patrol plan, the arrival time at the customer address, the biological information of the target patient, and the patient information are also transmitted together.

  Then, the doctor terminal 500 of the doctor in charge starts the patrol (step S406). At this time, the doctor in charge transmits boarding information according to the patrol plan and necessary equipment information regarding equipment necessary for medical examination from the doctor terminal 500 to the service terminal 100. The service terminal 100 receives the transmitted boarding information and makes a vehicle arrangement. When arranging the self-driving vehicle 200, the service terminal 100 arranges a vehicle service provider for allocating the self-driving vehicle 200.

  The vehicle service provider that has received the vehicle allocation arrangement transmits the vehicle information (vehicle ID, position information, etc.) of the arranged autonomous driving vehicle 200 to the service terminal 100 (step S408). The service terminal 100 arranges the vehicle by receiving the vehicle information (step S410). The service terminal 100 performs service authentication on the arranged autonomous driving vehicle 200 (step S412).

  At the time of service authentication in the service terminal 100, the autonomous driving vehicle 200 performs vehicle authentication and starts using the autonomous driving vehicle 200 (step S414). The service terminal 100 obtains the authentication key of the self-driving vehicle on which the doctor in charge rides by the service authentication.

  The service terminal 100 dispatches a vehicle and sends an authentication key (step S416). By dispatching the vehicle, the self-driving vehicle 200 performs self-driving and goes to the place of the doctor in charge. In addition, the service terminal 100 sends (transmits) the authentication key of the autonomous driving vehicle to the doctor terminal 500 (step S416).

  The doctor terminal 500 receives the authentication key transmitted from the service terminal 100. Then, when the autonomous driving vehicle 200 arrives at the location of the doctor in charge, the doctor in charge gets on the autonomous driving vehicle 200 with the doctor terminal 500 (step S418). The doctor in charge can enter the autonomous driving vehicle 200 by inputting the authentication key into a predetermined input unit of the autonomous driving vehicle 200.

  In addition, the service terminal 100, when it is necessary to deliver the necessary equipment to the autonomous driving vehicle 200 on which the doctor in charge gets on by another autonomous driving vehicle 200 based on the necessary equipment information transmitted from the doctor terminal 500, the vehicle service. Make a dispatch arrangement with the provider. The vehicle service provider who has received the vehicle dispatching arrangement transmits 200 pieces of vehicle information, which will be referred to as "another autonomous driving vehicle", that carries necessary equipment to the service terminal 100 (step S420).

  The service terminal 100 that receives the vehicle information receives the transmitted vehicle information and calculates the arrival position of the other autonomous driving vehicle 200 on the patrol route based on the received vehicle information. At this arrival position, the necessary equipment is delivered from the other autonomous driving vehicle 200 to the autonomous driving vehicle 200. The service terminal 100 notifies the doctor terminal 500 of the position information of the delivery position (step S422). The service terminal 100 also refers to the patient information, updates the estimated arrival time at the patrol destination, and transmits the updated arrival time to the doctor terminal 500 (step S422).

  The doctor in charge requests the service terminal 100 for the patient information including the visited information corresponding to the customer address in the patient information (step S424). Subsequently, the doctor in charge is making a primary diagnosis based on the patient information, and requests a detailed diagnosis and transmits inquiry information according to the result of the primary diagnosis (step S426). Then, the service terminal 100 updates the patrol route based on the transmitted request for detailed diagnosis and inquiry information (step S428), and transmits it to the autonomous driving vehicle 200.

  Further, the service terminal 100 confirms the equipment status with respect to the medical examination terminal 400, and arranges additional equipment required based on the result of the primary diagnosis (step S430). The examination terminal 400 transmits diagnostic machine information regarding the presence or absence of a diagnostic machine according to the facility confirmation to the service terminal 100 (step S432).

  Then, the service terminal 100 performs patient registration by referring to the past history (history) and case of the patrol destination patient (step S434). After that, the doctor in charge (doctor terminal 500) confirms the secondary diagnosis based on the past medical history of the patient, the result of diagnosis by the diagnostic device, and the like (step S436). After that, the service terminal 100 makes a task end determination (step S438), and if the task is not completed, returns to step S424 and repeats the same processing.

  In the medical network system according to the third embodiment described above, the service center S (service terminal 100) determines a patrol plan, dispatches a doctor, and makes a diagnosis based on a sensor value acquired by the doctor through communication with an in-vehicle diagnostic device. Move while doing. Here, when the handheld or vehicle-mounted diagnostic device is insufficient, the additional device is sent by another autonomous driving vehicle 200 and received on the route for diagnosis. Alternatively, dispatch to a relay point (facility). Further, diagnostic data is also accumulated on the service center side and a secondary diagnosis is made based on numerical analysis, and a doctor confirms the state and confirms the diagnosis.

  As described above, in the medical network system according to the third embodiment, the doctor in charge who travels in the patrol area by riding in the autonomous driving vehicle 200 can perform the primary diagnosis of the patient in the autonomous driving vehicle 200. Therefore, when the doctor in charge arrives at the patient's residence or the like, he / she can make the patient's primary diagnosis complete. As a result, the doctor in charge can save the time of the primary diagnosis in the patient's house or the like, and thus can shorten the staying time of the patient in the house such as the house. As a result, the doctor in charge can efficiently make a patrol in the patrol area.

  Further, by using the medical network system of the third embodiment, it is possible to perform a difficult diagnosis only by the doctor terminal while moving the facility terminal existing in the physical waypoint and the service terminal in the medical facility. For this reason, even in areas where facilities for diagnosis are scattered, many cases can be diagnosed using multiple diagnostic devices and remote service terminals that support advanced analysis, in a variety of cases comparable to large-scale medical facilities. It can be executed efficiently on the ground.

  As described above, the embodiments for carrying out the present invention have been described using the embodiments, but the present invention is not limited to such embodiments, and various modifications and substitutions are made without departing from the gist of the present invention. Can be added. For example, in each of the above-described embodiments, the service terminal 100 in the service center S is provided with the determination unit 110 to determine the vehicle allocation schedule. However, the automatic operation vehicle 200 is provided with the determination unit and the automatic operation vehicle 200 has the vehicle allocation schedule. May be generated. In this case, the determining unit may automatically generate the vehicle allocation schedule at a predetermined time, or may generate the vehicle allocation schedule in accordance with an operation of a doctor or the like who gets on the autonomous vehicle 200. Good.

  In addition, in the second embodiment described above, the doctor stays in the community center CC to perform a primary medical examination, but the biometric information transmitted to the communication device 220 of the autonomous vehicle 200 by the medical care terminal communication unit 420 is used. On the basis of this, the visiting doctor DR may perform the primary medical examination. Alternatively, the medical care terminal communication unit 420 may transmit the biometric information to a medical institution such as a hospital, and the medical institution may perform a primary medical examination.

  Further, in each of the above-described embodiments, the medical care terminal 400 indirectly transmits the biometric information to the communication device 220 of the self-driving vehicle 200 via the service terminal 100, but the medical care terminal 400 transmits to the communication device 220. Alternatively, the biometric information may be directly transmitted. When the biometric information is directly transmitted to the communication device 220, for example, the traveling doctor DR who gets on the autonomous driving vehicle 200 performs an operation of communicating with the service center S to generate the dispatch schedule to the service center S. You may ask.

  Further, in each of the above-described embodiments, the determination unit 110 of the service terminal 100 determines the vehicle allocation schedule from the viewpoint of minimizing the time required for the traveling doctor DR to travel, but the determination unit 110 determines the vehicle allocation schedule from another viewpoint. May be determined. For example, the determination unit 110 may determine a vehicle dispatch schedule to be patrolled in order of increasing age of the user, or may obtain a desired visit time of each user and determine a schedule in consideration of the desired visit time. May be. The determination unit 110 may store the vehicle allocation schedule in advance without calculating it one by one, and may output the stored vehicle allocation schedule to the service terminal communication unit 120.

  Further, in each of the above-described embodiments, the navigation device 230 simultaneously outputs the patrol route and the estimated arrival time and the biometric information of the user by image display by the HMI 232, but these are displayed alternately. Good. Further, the patrol route, the estimated arrival time, and the biometric information of the user may be displayed as an image in another mode of the navigation device 230. The output mode of the information output by the HMI 232 may be changeable by a switch operation or the like. For example, the patrol route or biometric information may be output as voice by operating the button corresponding to voice output, or the user who outputs biometric information by operating the button corresponding to display switching May be switched.

  Further, in each of the above-described embodiments, the medical examination equipment 300 is installed only in the community center CC in the patrol area, but the medical examination equipment 300 may be installed in a plurality of facilities or outside the patrol area. It may be installed in the facility. Further, the medical examination facility 300 may be installed in a place other than a specific facility inside or outside the patrol area, for example, the medical examination facility 300 may be installed in a user's home or a doctor's home. Furthermore, the examination facility 300 may be mounted on a vehicle such as the autonomous driving vehicle 200.

  In each of the above-described embodiments, the location of the user is fixed to the user's home. May make a patrol. The departure / arrival position of the autonomous driving vehicle 200 is the doctor's house in the patrol area, but may be another position. For example, it may be a doctor's house outside the patrol area or a vehicle storage inside or outside the patrol area.

  Further, in each of the above-described embodiments, one autonomous driving vehicle 200 circulates in one traveling area, but a plurality of autonomous driving vehicles 200 may circulate in one traveling area. The traveling doctor DR may be placed on each of the plurality of autonomous driving vehicles 200. Alternatively, one or a plurality of autonomous driving vehicles 200 may patrol a plurality of patrol areas.

  In addition, in each of the above-described embodiments, the determination unit 110 determines the patrol route in another manner in which the autonomous driving vehicle 200 determines the patrol route for visiting each user's home, regardless of the result of the primary diagnosis. May be. For example, in the second embodiment, the doctor of the community center CC may determine the necessity of a visit through a primary medical examination, and may generate a patrol route that omits a visit to a user's home where the visit is unnecessary. Good.

100 service terminal 110 determination unit 120 service terminal communication unit 200 self-driving vehicle 210 outside world monitoring unit 220 communication device 230 navigation device 232 HMI
234 GNSS receiver 236 Navigation control device 250 Autonomous driving control unit 260 Driving force output device 262 Brake device 264 Steering device 300 Examination facility 400 Medical treatment terminal 410 Calculation unit 420 Medical treatment terminal communication unit DR Traveling doctor NW network S Service center

Claims (8)

A medical care terminal including a first communication unit, which is installed in a facility provided with medical examination equipment;
An autonomous driving vehicle on which a doctor rides and which has a second communication unit and an information output unit;
A determining unit that determines a dispatch schedule of the autonomous vehicle so as to travel within a specific area;
The first communication unit directly or indirectly transmits a medical examination result by the medical examination facility to the second communication unit,
The information output unit outputs information based on the medical examination result received by the second communication unit to the doctor.
Medical network system. A third communication unit attached to the determination unit,
The first communication unit transmits a medical examination result by the medical examination equipment to the third communication unit,
The determination unit changes the vehicle allocation schedule based on the medical examination result received by the third communication unit,
The third communication unit transmits the received medical examination result to the second communication unit together with the changed vehicle allocation schedule.
The medical network system according to claim 1. A medical terminal installed in a facility equipped with medical examination equipment,
An external terminal including a determination unit that determines a dispatch schedule of the self-driving vehicle so that the self-driving vehicle on which the doctor rides travels in a specific area,
A doctor terminal operated by the doctor,
Equipped with
The external terminal transmits the vehicle allocation schedule determined by the determination unit to the doctor terminal,
External device. The doctor terminal transmits boarding information regarding arrangement of a vehicle according to the received vehicle allocation schedule to the determination unit,
The external device according to claim 3. The external terminal transmits authentication information of the self-driving vehicle to the doctor terminal,
The external device according to claim 3 or 4. The determining unit estimates an estimated time of arrival at a predetermined position of the autonomous vehicle,
Transmitting the estimated estimated arrival time to the doctor terminal,
The external device according to any one of claims 3 to 5. The doctor terminal transmits the treatment-related information based on the result of the primary diagnosis performed by the doctor to the external terminal,
The determination unit changes the vehicle dispatch schedule based on the treatment-related information transmitted from the doctor terminal.
The external device according to any one of claims 3 to 6. The determination unit, based on the treatment-related information, to generate necessary equipment-related information,
Transmitting the necessary facility-related information to at least one of the automatic driving vehicle and the medical care terminal,
The external device according to claim 7.

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